Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,517.19 / $2,517.19 / $2,517.19	Facility		$2,517.19	$2,517.19	$2,517.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,775.57 / $2,517.19 / $2,634.00	Professional		$1,775.57	$2,517.19	$2,634.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,547.16 / $12,729.53 / $16,669.56	Facility		$9,547.16	$12,729.53	$16,669.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $267.01 / $3,297.54 / $4,685.97	Professional		$267.01	$3,297.54	$4,685.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $214.88 / $2,193.75 / $2,900.84	Facility		$214.88	$2,193.75	$2,900.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $264.45 / $264.45 / $2,858.65	Professional		$264.45	$264.45	$2,858.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,440.00 / $1,440.00 / $1,468.80	Facility		$1,440.00	$1,440.00	$1,468.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,440.00 / $1,483.20 / $2,626.20	Professional		$1,440.00	$1,483.20	$2,626.20
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $905.02 / $2,388.98 / $3,305.80	Professional		$905.02	$2,388.98	$3,305.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $170.85 / $1,562.74 / $2,083.65	Professional		$170.85	$1,562.74	$2,083.65
United Facility/Professional Professional Modifier Low / Median / High Price $1,115.80 / $1,490.63 / $2,199.73	Professional		$1,115.80	$1,490.63	$2,199.73